IndividualActive
Nicolas Wieder, DO
NPI 1467500322 · Pain Medicine Physician · Kennesaw, GA
Provider details
- NPI number
- 1467500322
- Entity type
- Individual
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 20A5558 (CA)
Practice location
750 Townpark Lane
Kaiser Permanente Townpark Medical Center
Kennesaw, GA 30144
Phone: (818) 375-2000
Mailing address
3495 Piedmont Road, Ne
Atlanta, GA 30305
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2016-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.